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Individual

AMANDA ROSE HEREDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW, LSW

Contact information

Practice address
7211 TAYLORSVILLE RD STE 204, HUBER HEIGHTS, OH 45424-2377
(937) 718-2739
(937) 732-6066
Mailing address
455 WATERVLIET AVE, DAYTON, OH 45420-2466
(937) 718-2739

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2005305
OH

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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